Concordance and adherence

Question 1

Definition of medication nonadherence

Answer 1

Event in which pt does not follow prescribed medication dose, frequency or regime required for optimal therapeutic effect.

Question 2

Define the term compliance

Answer 2

Medication taken as directed by presriber

Question 3

Define the term adherence

Answer 3

Pts behaviour meets the recommendations of the prescriber

Question 4

Define the term concordance

Answer 4

Medication agreement between pt and prescriber taking into account pts beliefs, lifestyle and wishes

Question 5

What percentage of patients with a chronic condition are nondherent

Answer 5

50%

Question 6

What % of patients with chronic conditions are responsible for the number of hospital admissions

Answer 6

10%

Question 7

How many more medical visits will a nonadherent pt with a chronic condition have?

Answer 7

3 times as many

Question 8

5 aspects that make up the cost of medication nonadherence

Answer 8

Medication 
Prescribing 
Hospital admission 
Emergency treatment 
Total healthcare cost

Question 9

4 categories of medication nonadherence

Answer 9

Primary
Secondary
Intentional
Unintentional

Question 10

Define primary nonadherence

Answer 10

Pt does not commence treatment

Question 11

Define secondary nonadherence

Answer 11

Pt does not adhere to treatment

Question 12

Define intentional nonadherence

Answer 12

Pt chooses to be nonadherent

Question 13

Define unintentional nonadherence

Answer 13

Pt isnt nonadherent by choice

Question 14

You can know the type of medication nonadherence without talking to pt, true or false?

Answer 14

False

Question 15

2 classes of measuring medication nonadherence

Answer 15

Objective

Subjective

Question 16

3 objective measures of medication nonadherence

Answer 16

Pill counter
Electronic scanner
Biochemical measures

Question 17

4 subjective measures of medication nonadherence

Answer 17

Asking pts
Perceived burden scale
Talking about medicines
Morisky scale

Question 18

7 factors involved in medication non-adherence

Answer 18

Demographics 
Sociocultural 
Behavioural 
Provider 
Disease 
Medication 
System

Question 19

What should be the 4 focuses of pt with unintentional non-adherence?

Answer 19

Decrease pill burden
Frequency
Reminders
Ease of administration

Question 20

3 tools to help with unintentional non-adherence

Answer 20

Medication complexity index
Incentives to encourage compliance
Reduce costs

Question 21

What 2 factors should be focused on in pt with intentional non-adherence?

Answer 21

Identifying and addressing reasons

Tailoring interventions

Question 22

3 methods of improving pts intentional non-adherence

Answer 22

Motivational interviewing
Clear simple messages
2 way communication

Question 23

Medication adherence in acute illness is defined as an …

Answer 23

Activity

Question 24

Medication adherence in chronic illness is defined as a …

Answer 24

Behaviour